<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="renderer" content="webkit">
    <title>机构付款信息</title>
    <link rel="stylesheet" href="css/style.css">
    <!--[if lt IE 9]>
    <script src="https://cdn.bootcss.com/html5shiv/3.7.3/html5shiv.min.js"></script>
    <script src="https://cdn.bootcss.com/respond.js/1.4.2/respond.min.js"></script>
    <![endif]-->
    <!--[if lt IE 10]>
    <script src="js/assets/es5-shim.min.js"></script>
    <![endif]-->
</head>
<body>
<div class="root with-padding">
    <div class="topbar clearafter">
        <ol class="breadcrumb">
            <li class="active">
                <a data-i18n="index.payment">机构付款信息</a>
            </li>
        </ol>
    </div>
    <div class="formList" id="J_enroll_wrap">
        <div class="formLi">
            <div class="formTitle">
                <span data-i18n="table.companyname">单位名称</span>
            </div>
            <div class="formContent">
                <input class="form-control" type="text" name="orgname" style="width:390px;" value="">
            </div>
        </div>
        <div class="formLi">
            <div class="formTitle">
                <span data-i18n="table.bankaccount">开户行账号</span>
            </div>
            <div class="formContent">
                <input class="form-control" type="text" name="account" style="width:390px;" value="">
            </div>
        </div>
        <div class="formLi">
            <div class="formTitle">
                <span data-i18n="table.bankaccountname">开户行名称</span>
            </div>
            <div class="formContent">
                <input class="form-control" type="text" name="name" style="width:390px;" value="">
            </div>
        </div>
        <div class="formLi" style="height:116px;">
            <div class="formTitle" style="position:relative;left:0;top:5px;">
                <span style="position:relative;left:0;top:29px;" data-i18n="table.webchatqrcode">微信二维码</span>
            </div>
            <div class="formContent" id="J_imgupload">
                      <span class="icon icon-uploadimg" id="J_uploadCover">
                          <img src="" width="208" height="200" id="J_img">
                          <input type="file" name="Filedata" multiple="multiple" data-url="/api/file/upload" class="a1" style="background:red">
                      </span>
            </div>
        </div>
        <div class="formLi" style="height:116px;">
            <div class="formTitle" style="position:relative;left:0;top:5px;">
                <span style="position:relative;left:0;top:29px;" data-i18n="table.alipayqrcode">支付宝二维码</span>
            </div>
            <div class="formContent" id="de_imgupload">
                  <span class="icon icon-uploadimg" id="de_uploadCover">
                      <img src="" width="208" height="200" id="de_img">
                      <input type="file" name="Filedata" multiple="multiple" data-url="/api/file/upload" class="a1" style="background:red">
                  </span>
            </div>
        </div>
        
        <div class="formLi">
            <div class="formTitle"></div>
            <div class="formContent">
                <input  type="button" class="btn btn-primary" id="J_enroll_submit" value="保存" data-i18n="[value]info.save">
            </div>
        </div>
    </div>
</div>
<script src="js/dist/base.js" charset="utf-8"></script>
<script src="js/dist/widgets/payment.js" charset="utf-8"></script>
</body>
</html>
